Fast Five Quiz: Borderline Personality Disorder

Stephen Soreff, MD

Disclosures

March 09, 2021

According to the DSM-5, borderline personality disorder is diagnosed on the basis of (1) a pervasive pattern of instability of interpersonal relationships, self-image, and affects, and (2) marked impulsivity beginning by early adulthood and present in various contexts, as indicated by at least five of the following:

  1. Frantic efforts to avoid real or imagined abandonment (does not include suicidal or self-mutilating behavior covered in criterion 5)

  2. A pattern of unstable and intense interpersonal relationships characterized by alternating between extremes of idealization and devaluation

  3. Identity disturbance (markedly and persistently unstable self-image or sense of self)

  4. Impulsivity in at least two areas that are potentially self-damaging (does not include suicidal or self-mutilating behavior covered in criterion 5)

  5. Recurrent suicidal behavior, gestures, or threats, or self-mutilating behavior

  6. Affective instability due to a marked reactivity of mood

  7. Chronic feelings of emptiness

  8. Inappropriate, intense anger or difficulty controlling anger

  9. Transient, stress-related paranoid ideation or severe dissociative symptoms

Read more about the criteria for borderline personality disorder.

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